| Mrs Meredith Ashley Holick, LPC, LCADC | |
|
350 Sparta Ave Ste C2a, Sparta, NJ 07871-1123 | |
| (973) 726-4533 | |
| (973) 726-0617 |
| Full Name | Mrs Meredith Ashley Holick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 350 Sparta Ave Ste C2a, Sparta, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245880764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00303400 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00539300 (New Jersey) | Primary |
| Entity Name | Lakeside Counseling Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Meredith Ashley Holick, LPC, LCADC 78 Forest Lake Dr N, Andover, NJ 07821-4014 Ph: (201) 317-9866 | Mrs Meredith Ashley Holick, LPC, LCADC 350 Sparta Ave Ste C2a, Sparta, NJ 07871-1123 Ph: (973) 726-4533 |
Isabel Juliette Nassi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Main St, Sparta, NJ 07871 Phone: 201-498-9140 | |
Tierney Veliz, MA, ED.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd Ste 209, Sparta, NJ 07871 Phone: 973-512-3700 | |
Melony K Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd, Sparta, NJ 07871 Phone: 973-512-3700 | |
Elizabeth Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Sparta Ave, #203, Sparta, NJ 07871 Phone: 973-573-1500 | |
Cassidy Spohn, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd, Sparta, NJ 07871 Phone: 973-512-3700 | |
Lisa Arline Frisbie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Main Street Rear Suite, Sparta, NJ 07871 Phone: 908-291-8466 | |
Paul Joseph Burns, Counselor Medicare: Medicare Enrolled Practice Location: 9 Fishers Ln, Sparta, NJ 07871 Phone: 973-726-4533 |